A notable amount of progress has been made in reducing maternal mortality rates over the past 25 years in Senegal. However, the national maternal mortality ratio remains unacceptably high. With mobile health (mHealth) interventions been used increasingly in rural and remote areas of the country, this study looks at the application of CommCare. CommCare is an application that runs on cell phones distributed to community health workers to enroll and track women through their pregnancy, birth and post-partum.
Provision of pregnancy tests by community health workers (CHWs) in low resource settings has the potential to reach a large proportion of women in these regions. This randomized control trial looks at the efficiency of an intervention which involves CHWs supplying home pregnancy tests and whether this approach brings in more clients for ante natal counselling (ANC).
In addition to quality of care of maternal health services, increased uptake of antenatal care (ANC) and facility- based delivery are key contributors to improved maternal and neonatal health in resource limited settings. This cluster randomized trial attempted to assess the impact of a community health worker (CHW) intervention on the proportion of women who visit ANC less than 4 times during pregnancy and deliver at home.
This qualitative study examines the facilitating factors and barriers to birth preparedness and complication readiness in rural Rwanda. Participants perceived CHWs, attending antenatal care, and medical insurance as facilitating factors while disrespectful care and inconsistent health policies were seen as barriers.
This study investigate the impact of two umbilical cord cleansing regimens on neonatal morality and morbidity in a rural region in the Sylhet District of Bangladesh. The study used data from a previously performed community-based cluster-randomized trail. Community health workers checked the newborns for the first nine days of life for infections. The authors found that identifying and following up with high-risk mothers and newborns along with clean cord care can decrease the rate of neonatal infections and deaths.
This study protocol outlines the type 2 hybrid effectiveness-implementation study that was used to test an integrated maternal and child health intervention based in the community health worker system in rural Nepal.
The authors conducted a cross-sectional study using 48 event narratives and 6 focus group discussions. Upon analyzing the collected qualitative data, it was found that community health workers and women's saving groups improved illness recognition, decision-making, care-seeking for maternal and newborn illness.